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Therapies for treating hepatitis c virus infection

A liver, VX-222 technology, applied in antiviral agents, medical preparations containing active ingredients, pharmaceutical formulas, etc., can solve problems such as uncertain prospects

Inactive Publication Date: 2012-12-26
VERTEX PHARMA INC
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

Additionally, prospects for an effective vaccine against HCV are uncertain

Method used

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  • Therapies for treating hepatitis c virus infection
  • Therapies for treating hepatitis c virus infection
  • Therapies for treating hepatitis c virus infection

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0224] Example 1: HCV Replicon Cell Assay Protocol

[0225] Cells containing the hepatitis C virus (HCV) replicon were maintained in DMEM containing 10% fetal bovine serum (FBS), 0.25 mg / ml G418 and appropriate supplements (medium A).

[0226] On day 1, replicon cell monolayers were treated with a trypsin:EDTA mixture, removed, and Medium A was diluted to a final concentration of 100,000 cells / ml. Place 10,000 cells / 100 μl in each well of a 96-well tissue culture plate and incubate overnight at 37° C. in a tissue culture incubator.

[0227] On day 2, compounds (in 100% DMSO) were serially diluted into DMEM containing 2% FBS, 0.5% DMSO and appropriate supplements (medium B). The final concentration of DMSO was maintained at 0.5% throughout the serial dilutions.

[0228] The medium on the replicon cell monolayer was removed, and then medium B containing various concentrations of the compound was added. Medium B without any compound was added to other wells as no compound cont...

Embodiment 2

[0233] Embodiment 2: HCV Ki assay scheme

[0234] HPLC microbore method for separation of 5AB substrate and product

[0235] Substrate: NH 2 -Glu-Asp-Val-Val-(α)Abu-Cys-Ser-Met-Ser-Tyr-COOH SEQ ID NO:1.

[0236] Prepare a 5AB stock solution at a concentration of 20 mM (or concentration of choice) in DMSO w / 0.2M DTT. It was stored in aliquots at -20°C.

[0237] Buffer: 50 mM HEPES (pH 7.8); 20% glycerol; 100 mM NaCl.

[0238] The total assay volume was 100 μL.

[0239]

X1 (μL)

concentration in the assay

buffer

86.5

as above

5mM KK4A

0.5

25μM

1M DTT

0.5

5mM

DMSO or inhibitors

2.5

2.5%v / v

50 μM tNS3

0.05

25nM

[0240]

X1 (μL)

concentration in the assay

250 μM 5AB (priming)

20

25μM

[0241] Combine buffer, KK4A, DTT, and tNS3; add 78 μL each to each well of a 96-well plate. This was incubated at 30°C for about 5-10 minutes. 2.5 μL ...

Embodiment 3

[0257] VX-950 was tested in a randomized double-blind placebo-controlled single dose escalation study. 25 healthy male volunteers were recruited. Subjects each received multiple single doses of VX-950 (at least 7 days apart), 3 doses of VX-950 (increased dose levels), and 1 dose of placebo.

[0258] Doses from 25 mg to 1250 mg were evaluated. A dose escalation protocol was used that combined dose doubling and Fibonacci adjusted to be aggressive in the lower dose range and conservative in the higher dose range.

[0259] VX-950 was well tolerated at all dose levels and no serious adverse events were reported during the study. There was no increase in adverse events as dose levels were increased.

[0260] Pharmacokinetic analysis was performed using the statistical moment method. Pharmacokinetic analysis indicated that VX-950 was 最大 Be absorbed for 3 hours. Less than 2% of VX-950 was eliminated unchanged in urine, suggesting that the drug is primarily eliminated through met...

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Abstract

A method of improving the pharmacokinetics of VX-222 in a patient infected with HCV comprises co-administering VX-222 and VX-950 to the patient. A method of treating a patient infected with HCV comprises administering VX-222 and VX-950 to the patient, wherein VX-222 is in an amount of about 20 mg to about 400 mg, and wherein VX-950 is in an amount of about 100 mg to about 1,500 mg. A method of treating a patient infected with HCV comprises administering a therapeutically effective amount of VX-222, wherein VX- 222 is administered at an amount of about 20 mg to about 2,000 mg once a day.

Description

[0001] related application [0002] This application claims priority to the following U.S. Provisional Applications: U.S. Provisional Application 61 / 299,643, filed January 29, 2010, U.S. Provisional Application 61 / 308,506, filed February 26, 2010, U.S. Provisional Application 61 / 308,506, filed March 1, 2010 Provisional Application 61 / 309,117 and US Provisional Application 61 / 324,395, filed April 15, 2010. The entire teachings of these applications are incorporated into this application by reference. technical field [0003] The present invention relates to methods of treating hepatitis C virus infection. Background technique [0004] Hepatitis C virus ("HCV") infection is an urgent human medical problem. HCV is thought to be the causative agent in most cases of non-A non-B hepatitis, with an estimated global human seropositivity rate of 3% (see, e.g., A. Alberti et al., "Natural History of Hepatitis C", vol. J. Hepatology, 31 (Suppl. 1), 17-24 (1999)). In the United Stat...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61K31/454A61K31/4535A61P1/16
CPCA61K31/7056A61K31/4535A61K45/06A61K31/454A61P1/16A61P31/14A61P43/00A61K2300/00
Inventor M.罗萨里奥N.乔雷特S.乔治T.L.凯弗M.J.科齐尔O.尼古拉斯L.普罗克斯
Owner VERTEX PHARMA INC